Vaginal Lumps: Causes and When to Seek Medical Advice

Vaginal mass

Hello, doctor.
I have had sexual intercourse and I also have a habit of masturbation.
About four to five years ago, while masturbating, I discovered a hard lump in the upper part of the vagina (approximately one finger's depth).
It is not painful, but it feels quite large.
Two years ago, I underwent a sigmoidoscopy and a colposcopy, and the results showed no abnormalities and no foreign objects were found.
However, I can still feel it when I touch it with my fingers.
What could that be? Thank you.

Xiao Tong, 20~29 year old female. Ask Date: 2016/05/04

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I'm sorry that I cannot diagnose based on the described symptoms.
If you continue to feel unwell, I recommend seeing a gynecologist for an examination.
Wishing you good health.

Reply Date: 2016/05/04

More Info

When it comes to understanding vaginal lumps, it's essential to consider various factors, including the characteristics of the lump, any associated symptoms, and your medical history. Based on your description, it seems you have a firm lump located in the upper part of the vaginal canal, which has been present for several years without causing pain. This is a crucial detail, as the nature of the lump can help guide potential diagnoses.

There are several possible causes for lumps in the vaginal area. One common cause is the presence of cysts, such as Bartholin's cysts, which can develop when the glands that lubricate the vagina become blocked. These cysts can vary in size and may not always cause discomfort. Another possibility is the presence of fibromas or benign tumors, which can occur in the vaginal wall or surrounding tissues. These growths are typically non-cancerous and may not require treatment unless they cause symptoms.

In your case, since you have already undergone a colonoscopy and a vaginal examination without any abnormalities being detected, it is reassuring. However, the fact that you can still palpate the lump suggests that it may be a benign structure, such as a fibroma or a cyst. It's also worth noting that some women may have normal anatomical variations that can feel like lumps but are not pathological.

When it comes to seeking medical advice, there are specific situations where it is advisable to consult a healthcare provider. If the lump changes in size, becomes painful, or if you experience any unusual symptoms such as abnormal bleeding, discharge, or changes in urination, it is essential to seek medical attention. Additionally, if you notice any changes in your menstrual cycle or if you have concerns about your sexual health, these are also valid reasons to consult a healthcare professional.

Regular gynecological check-ups are important for monitoring any changes in your reproductive health. If you have not had a recent pelvic examination, it may be beneficial to schedule one. During this visit, you can discuss your concerns about the lump, and the healthcare provider may perform a physical examination to assess it further. They may also recommend imaging studies, such as an ultrasound, to get a clearer picture of the lump's characteristics.

In summary, while the lump you are experiencing may not be a cause for immediate concern, it is essential to remain vigilant about any changes. Regular check-ups and open communication with your healthcare provider will help ensure that any potential issues are addressed promptly. Remember, your health is paramount, and seeking medical advice when in doubt is always a wise decision.

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